Beyond Patient Invariance: Learning Cardiac Dynamics via Action-Conditioned JEPAs

Self-supervised learning in healthcare has largely relied on invariance-based objectives, which maximize similarity between different views of the same patient. While effective for static anatomy, this paradigm is fundamentally misaligned with clinical diagnosis, as it mathematically compels the model to suppress the transient pathological changes it is intended to detect. We propose a shift towards Action-Conditioned World Models that learn to simulate the dynamics of disease progression, or Event-Conditioned. Adapting the LeJEPA framework to physiological time-series, we define pathology not as a static label, but as a transition vector acting on a patient's latent state. By predicting the future electrophysiological state of the heart given a disease onset, our model explicitly disentangles stable anatomical features from dynamic pathological forces. Evaluated on the MIMIC-IV-ECG dataset, our approach outperforms fully supervised baselines on the critical triage task. Crucially, we demonstrate superior sample efficiency: in low-resource regimes, our world model outperforms supervised learning by over 0.05 AUROC. These results suggest that modeling biological dynamics provides a dense supervision signal that is far more robust than static classification. Source code is available at https://github.com/cljosegfer/lesaude-dynamics

POLAR:A Per-User Association Test in Embedding Space

Most intrinsic association probes operate at the word, sentence, or corpus level, obscuring author-level variation. We present POLAR (Per-user On-axis Lexical Association Re-port), a per-user lexical association test that runs in the embedding space of a lightly adapted masked language model. Authors are represented by private deterministic to-kens; POLAR projects these vectors onto curated lexicalaxes and reports standardized effects with permutation p-values and Benjamini--Hochberg control. On a balanced bot--human Twitter benchmark, POLAR cleanly separates LLM-driven bots from organic accounts; on an extremist forum,it quantifies strong alignment with slur lexicons and reveals rightward drift over time. The method is modular to new attribute sets and provides concise, per-author diagnostics for computational social science. All code is publicly avail-able at https://github.com/pedroaugtb/POLAR-A-Per-User-Association-Test-in-Embedding-Space.